Individual
ANDREW DONALD MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 GRUNDMAN BLVD, NEBRASKA CITY, NE 68410-3397
(402) 873-7411
Mailing address
2030 RAINBOW AVE, SEWARD, NE 68434-3000
(402) 643-0711
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
NE3106
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA1822004
MEDICARE
NE
Enumeration date
07/20/2012
Last updated
12/27/2012
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